Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ELZER T. FULLER JR., M.D.
ActiveDR. ELZER T. FULLER JR., M.D. is a General Practice healthcare provider located in LONDON, Kentucky. NPI 1013961986 is currently active in the NPPES registry. Verify at CMS.
General Practice · LONDON, KY
Registration Details
- NPI Number
- 1013961986
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 22, 2006 (20.042669188021 yrs)
- Last Updated
- Jan 13, 2014
- Licenses
-
19010 (KY)ME58598 (FL)19010 (KY)
Practice Information
- Address
-
969 LAUREL COVE RDLONDON, KY, 407419024Browse KY providers · Browse ZIP 40741
- Phone
- 6068432548
- Fax
- 8598730115
- Primary Specialty
-
General Practice
208D00000X
- Additional Specialty
- Emergency Medicine
- Additional Specialty
- Emergency Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.